Laserfiche WebLink
� � �,Permit No. -. �_�......_-.--- <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />Approved � By <br />The Undersigned � - ��`� �� � �/1i"�-� /�� Daie Approved <br />.-, , ; <br />Hereby applies for permission to �O r� L /i / � '= /-� /''j� G ^ �k' �� � 7,`/ �/ � f T � � <br />At the follow%ng <br />SKETCH <br />IWork to be donel <br />i, <br />T <br />U1 <br />w <br />� <br />� <br />�, <br />v <br />�..� _ _ : <br />o RLLPY <br />N <br />12 / I <br />v"AF�s ',� <br />::�Y — <br />a2' ,�n � ' <br />II <br />i0�i <br />��:✓!v�/z ��_';�.� ,.;�T,�?/N <br />� •;�ic=„ ir�>;-� ',- ` �%'f"<' <br />9 p.C'OPFJ'TY � r!!��";6'S <br />� '1 <br />w, � �. r'� r <br />0�- <br />The undcrsigned owncn c�reby ogrecs to hold and savc harmle:s the City o( <br />Everett fram any and all cloims for damages Iho� may orisc be:ause of Ihc <br />installalion and mainlenancc of Ihe impmvemenl herelo appli�d for and <br />further ogrees lo remove same upon nofice from the Cily and lo replace all <br />public pwpr.rty domaged Ihereby. <br />.� <br />��.�/.��i� � <br />%l <br />,�.�� /`iP�G�a�C�'% <br />`� /l ✓ �v� <br />�����/>o <br />/iSic�' �'� <br />Inspedoi s SignaWre <br />�i� �'.S�EC,C� ��y'�.�v <br />Dale <br />'� �'�- <br />Varionce Required <br />Yes <br />No <br />�j `� .-� <br />�> .t: C; / � -, � � <br />�Ci� i '�.C'."J.p. )r, <br />C` � c C��' C i ic �. ^-, -: �-' -� <br />Signalure o( Applicant <br />,�/ z 3noa� /,re:.. . <br />��� Z 4�/: " rt %/ <- - <<, �, �` <br />y �.�, nda,�,� <br />�,., � <br />/r�.�. cdc�;��s- /� „ , �c„�, <br />ielephone Number � � ` ��L "� � ' <br />Arr�vs; 2/ i9�v <br />Dofe <br />$ -_� — <br />Fce <br />DEPT. APPROVALS <br />Enginecrs <br />Waler <br />Strcet <br />C^�i�,�.r,' ,''.-:rs.. _ _ . . _. . -- ---- <br />